Results

Mortality was high in patients with all four clinical phenotypes. CKD 1 to 2 stage had no impact on mortality in patients with decompensated CHF while even mild pneumonia significantly increased a risk of death after day 30 of followup. Mortality in patients with cirrhosis Child-Pugh class B was higher than in patients with Child-Pugh class A after day 30 of follow-up. Pneumonia in patients with Child-Pugh class A cirrhosis was associated with higher risk of death though the differences did not reach statistical significancy due to low number of patients with cirrhosis and pneumonia. Development of pneumonia in patients with Child-Pugh class B cirrhosis and decompensated CHF Forrester class B or C signicantly increased a risk of death (OR 1.82).

Conclusion

Clinical phenotypes may be used to predict mortality in decompensated CHF patients.